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-_ : _ <br />APPLICATIOC� FOR ADVISOR� G�OUPS _ <br />Group Applied For: � CoNai��C ��11EG0 !��//�iUJ Ca�ra�,is.r%� <br />szcond Choice ( i� any) :��V�20/l�i�J�iV%1L Q(�i9L/% `/ <br />Full ��amIe' rint or/ �ype)° <br />VV � �. .S C /`7' .� � �Z-►� �_. � . <br />Address : 2.ss� � O�l�c�s U��-�/ �I�_ <br />, <br />Years At his Addrass : �ears You [3ave <br />� ,.,�Cs��,E�. �- Zg-S 3� � / C5�-�� � <br />Telephone- Eiome- <br />�`j g �' - 2-� 3 3 <br />�l. tr, �N S`�%/Z - 5�//U <br />ived I Mounds View: _ <br />>-��-�� . <br />Wor!c or Other: <br />�o z.s = 3��3 <br />QUALIFICATIONS YOU WANT TO E��VE T:3E COUNCIL CO[�1SIDER <br />� <br />Skills and Intere ts: <br />l.Csu�. ! s/{,-//s a� a� aPP�` eGO-�o�.,� ,.Z' a-r-` r� ; ti ��- <br />2l � y_ o/ �� e n �e� �/� z-y+. � / � T/��,��eS���� /�c.. cu�•-�-�-r �r -�c `r �r <br />vl.e v�.c. o�->n, e�—T /�'1. '7�G1 L' P�"o d c� s C� �iS�i <br />EmploymenC, Occuoation or Other Experience: <br />�rU]" . o� ��� l, eo( ��ar i c. �c c-o,. o-y.a i r s./�/ �''2'�e ss! e'�i�/wv r.�l �v v- <br />%��' �' 3l y✓'S • %izS .��e �, • ��-t. zY e� s o � '-°��, � -�',�,¢ ��E lo����`r'� <br />a-� oj � �^nw`�h� beylr i� 7�t �e uS �4 �� �b✓'o � . � fea�`i �7,. 7`�� <br />a,�^eas erF 2id.-f�cra./ resouvc� ��elo� ���,� reso�.cv�cf°�`'� a�a�e��a <br />e� V'�ro� -+�*e.�.�`fi (�c o-+, n� � c s, a� �crv�ro�,� c�NOw7'% w c�vC�lo��+,cezs� I <br />Membershi�s, Accomplishments Or Other Qualification : <br />S�a��6�rs��.�s �eYSoh. a ��� ��h,e a�.v Cb..c�G�er <br />S�,�.G( Gornev� �-YOCer/J �°'a,� ; l�. ow� e�> <br />Please Sta e Your easons ^c Want ng T <br />w�--�/�� �� �aa� <br />2.rr---'�tla.�°1_ 9..Q, _ � �� � c�..� <br />�� z <br />r e O Th�s Committee: <br />v <br />% J dt 4�.d <br />- - t''��. �2°� <br />�J2Rrc���'K�J <br />Your response to any oi t:ze above may be continued on tne ack <br />and you may at�ach any ot!�e� �ate�ials which.you want the Council <br />to consider� <br />Signature <br />�� `�� <br />cat� �-�-9y <br />The City of Mounds View is comr.iit�ed to the policy t:�at ali <br />persons shall have equal �cc�ss to its programs, facilities, and � <br />emoloyr.ient witnout regard to race, creed, color, se:c, age, <br />na�ional oricin, or hand`��pQ� r�v� � c��_ ��"v <br />�,^e ess�n /� l� a`'l�� � 7l � o- <br />!� l � `// � � �o�rh �.e�7�' ��n �����L- <br />s�TO'n� � 2/i eve Tn e/ l�ca� / , � <br />_,/ c-�a !! ,7 �n �J rD b� S/� e SSJ �-n '/ <br />E'Yl v i Y` D h�yr. G'''v7' a/ �/, � � o'� / d-S � ��L! �r �� <br />.�.� 1% C'J 5� �cu �z.0 I/ �'� �I e. D ��'" / <br />0��e cu�r e�. �" �l � � a n S 7�r��?'�+ v_- <br />�. ! e�� e-- r � � � s7�a�e �/ � <br />Y^ � � � �al //ce. � � �l�'r o : `�`�� <br />��1 [ S • `-- � v � Z T%� Y°' ; � b T % y�l �/ . <br />� <br />1� <br />"' ` - "*' p4r <br />